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VSG to RNY - Not excited

stpatty

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stpatty    18

stpatty
Posted

I had VSG in November 2016. I never really lost the weight I had hoped (lost about 30 pounds). I'm sure a lot of it has to do with my choices because I really want to get the extra weight off. I recently met with my surgeon to discuss my options and after having a Bravo Endoscopy, we learned I have extremely bad acid reflux (I didn't need a procedure to learn that but whatever). He also stated that I have a hiatal hernia.

Today he advised me to undergo gastric bypass which will completely eradicate the reflux. I was hoping to go in for a duodenal switch but he stated that wasn't a good option for me.

Does anyone have any experience on vsg to rny with great weight loss results?

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I♡BypassedMyPhatAss♡    807

I♡BypassedMyPhatAss♡
Posted

You're not excited about a new opportunity to lose the weight that you weren't able to with VSG? Or are you unhappy that your surgeon is recommending RNY instead of DS? My surgeon will only do DS on patients who have out of control diabetes, from what I understand.

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stpatty    18

stpatty
Posted

I'm not excited because I know I'd get better weight loss with DS than with RNY. I'm shallow I guess but really wanted to lose the weight. He told me DS was an option if I only wanted weight loss but RNY would alleviate the acid reflux. I'm likely going to get the RNY but was hoping someone here could tell me that weight loss is also good with this procedure.

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I♡BypassedMyPhatAss♡    807

I♡BypassedMyPhatAss♡
Posted

I see. DS is very malabsorptive, more so than RNY, so it has a much higher risk of malnutrition and the malaborption of fats hinders absorption of fat soluble Vitamins. So I guess in a surgeons mind, the benefits have to outweigh the risks, which is why my surgeon only does it on patients with poorly controlled diabetics. So patient compliance with DS surgery isn't negotiable.

I'm having revision due to GERD soon as well.

There's many RNY'ers on here that have done exceptionally well with their surgeries. I'm sure they will post about their successes soon.

You will do well with RNY if you follow your surgeons program. Best wishes!

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I♡BypassedMyPhatAss♡    807

I♡BypassedMyPhatAss♡
Posted

Just now, stpatty said:

Thanks so much for that! By the way, your profile name is bad ass! Love it!

You're welcome! And thank you! Thanks for finding the humor in it!

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I♡BypassedMyPhatAss♡    807

I♡BypassedMyPhatAss♡
Posted

1 minute ago, stpatty said:

I love humor. I actually perform stand-up on the side. Hopefully someone won't slap me in the face while on stage.

Humor on this site, is often missed. Sadly, lol. And lolol I hope you don't get Chris Rock'ed either! I think everything in life is easier dealt with if you can find humor in it. I guess not everyone feels that way. Not on this site at least.

Mariann812 reacted to this

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Guest
Posted

44 minutes ago, stpatty said:

I'm not excited because I know I'd get better weight loss with DS than with RNY.

Is MGB an option for you at that practice? The weight loss approaches DS, with fewer side effects, and there's a proven great effect with VSG-->MGB revisions.

The DS revision wouldn't do anything for your reflux, so that'd be on borrowed time anyway. The MGB could solve it.

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stpatty    18

stpatty
Posted

6 minutes ago, MiniGastricBypassDude said:

Is MGB an option for you at that practice? The weight loss approaches DS, with fewer side effects, and there's a proven great effect with VSG-->MGB revisions.

The DS revision wouldn't do anything for your reflux, so that'd be on borrowed time anyway. The MGB could solve it.

I would like to think MGB would be an option, the surgeon is at Duke. With that said, he didn't mention it as an option. When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

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Guest
Posted

Just now, stpatty said:

When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

Well, I do.

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catwoman7    11,274

catwoman7
Posted (edited)

lots of people have done that revision. The thing is, like with VSG, you're going to have to change your habits and follow the program to lose the weight. The surgery will only take you so far. I lost a truckload of weight, but I worked really hard at it. And yes, the revision should at minimum improve, and will likely eradicate, the GERD.

btw - weight loss is never as strong or quick with revisions as it is with virgin surgeries, but that said, there are people who've been very successful with revisions. If you are committed, you'll get there.

Edited by catwoman7
SleeveToBypass2023, I♡BypassedMyPhatAss♡ and stpatty reacted to this

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catwoman7    11,274

catwoman7
Posted

1 minute ago, stpatty said:

I would like to think MGB would be an option, the surgeon is at Duke. With that said, he didn't mention it as an option. When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

I don't know that all clinics do that. Mine just does VSG and RNY. I think MGB is pretty common in Europe, and some clinics are doing it here now...

stpatty and I♡BypassedMyPhatAss♡ reacted to this

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Go To Topic Listing Revision Weight Loss Surgery Forums (NEW!)

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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